Centro Universitário FMABC, Santo André, SP, Brasil.
Universidade Federal do Cariri, Juazeiro do Norte, CE, Brasil.
Braz J Med Biol Res. 2021 Jul 16;54(10):e10380. doi: 10.1590/1414-431X2020e10380. eCollection 2021.
Depression is a common disorder in the population, but some people are more vulnerable to this condition. Groups at higher risk of developing psychic suffering include black children and adolescents living in vulnerable socioeconomic conditions. This study aimed to analyze race and life conditions as determinants of depression in children and adolescents. This was a systematic review with meta-analysis. The study sources were MEDLINE Ovid, Web of Science, Latin American and Caribbean Health Science Information database, Science Citation Index-Expanded, PubMed, EMBASE, and Scopus. The following keywords were used: Child, Adolescent, Stress, Psychological, Depression, and African Continental Ancestry Group, using the logical operators AND and OR. The general criteria were observational studies published in the last 20 years. Language was not restricted to avoid possible bias in the selection of articles. Studies with a high risk of bias were excluded. General analysis was conducted with RStudio 3.0 software using odds ratio analysis with a 95% confidence interval and 0.05 significance level. We firstly found 654 studies, of which 18 met the criteria and were included in this review. Race and life conditions were determinants of depression in children and adolescents, with a negative impact for the black population.
抑郁症在人群中很常见,但有些人更容易受到这种情况的影响。更容易产生心理痛苦的群体包括生活在脆弱社会经济环境中的黑人儿童和青少年。本研究旨在分析种族和生活条件对儿童和青少年抑郁的决定因素。这是一项系统评价和荟萃分析。研究来源包括 MEDLINE Ovid、Web of Science、拉丁美洲和加勒比健康科学信息数据库、科学引文索引扩展版、PubMed、EMBASE 和 Scopus。使用了以下关键词:儿童、青少年、应激、心理、抑郁和非洲大陆祖先群,使用逻辑运算符 AND 和 OR。一般标准是发表在过去 20 年的观察性研究。为避免在选择文章时可能出现偏差,不限制语言。排除高偏倚风险的研究。使用 RStudio 3.0 软件进行总体分析,使用优势比分析,置信区间为 95%,显著性水平为 0.05。我们首先发现了 654 项研究,其中 18 项符合标准并纳入本综述。种族和生活条件是儿童和青少年抑郁的决定因素,对黑人人口有负面影响。